NPs Completing Medical Certificates of Death (MCOD) and Medical Certificates of Stillbirth (MCOS)

The Government of Saskatchewan amended vital statistics legislation effective January 1, 2016, giving NPs the legal authority to sign the MCOD and MCOS. Information for NP practice in this area has been contained in the SRNA Guidelines for NPs Completing Medical Certificate of Death & Medical Certificate of Stillbirth, 2016. The guideline has been discontinued and this update provides the most current information and resources.

Physicians, coroners, and NPs share responsibility for proper completion of MCOD and MCOS. NPs registered with the SRNA whom have the appropriate knowledge, skills and competencies are authorized to complete a MCOD and MCOS unless the death needs to be reported to a coroner. NPs need to be familiar with the current provincial legislation that will guide their clinical decisions including;

• The Vital Statistics Regulations;

• The Vital Statistics Act;

• The Coroners Regulations; and

 • The Coroners Act.

All Government of Saskatchewan documents are available on Queen’s Printer at the following web site

Additional resources for NPs:

If you have any questions, please contact an SRNA Practice Advisor by phone at 1.800.667.9945 or 306.359.4227 or by email

Referral-Consultation Process for Nurse Practitioners

The College of Physicians and Surgeons of Saskatchewan (CPSS) has recently released a Guideline: Referral-Consultation Process. The guideline includes guidance for physicians who are writing referrals and consultation reports. Nurse Practitioners (NP) are included as care providers within the document. Expectations for communication to/from consulting physicians are important for NPs to know, understand and implement into their practice.

NP practice standards set the expectation for NPs to understand the roles of, and collaborate with, other health care providers to support optimal client outcomes (SRNA, 2017). Section four of the guideline outlines the expectations of referring physicians. The SRNA supports the information in this section and expects NPs to follow these guidelines when referring a patient to a specialist.

If you have any questions, please contact an SRNA Practice Advisor by phone at 1.800.667.9945 or 306.359.4227 or by email


Saskatchewan Registered Nurses Association (SRNA). (2017). Registered Nurse (Nurse Practitioner) Practice Standards. Retrieved from

Nurse Practitioner Regulation Framework Implementation Plan Project (NPR-FIPP)

As a member of the national steering committee, the SRNA is participating in the Nurse Practitioner Regulation Framework Implementation Plan Project (NPR-FIPP). This project is a multi-year, multi-faceted initiative commissioned by the Canadian Council of Registered Nurse Regulators (CCRNR).

The goal of NPR-FIPP is to implement the recommendations endorsed by CCRNR regarding six basic elements of a model for Nurse Practitioner regulation in Canada. These six elements include entry level education programs, the creation of one national entry-level examination for all NPs across Canada, common standards of practice, continuing competence, one NP registration category based on entry-level competencies and common principles for re-entry to practice. The first-year priority will focus on beginning work on an entry level examination and entry level education programs.

For additional information about the project, visit the CCRNR website.

If you have any questions about the project and/or the SRNA’s role, please contact Donna Cooke, Nursing Advisor, Regulatory Services at or phone 1-800-667-9945 (ext. 202) or 306-359-4202.

24 Hour RN Coverage Resources

With the recent transition towards a single mandate organization, the SRNA Council has made the decision to discontinue the use of position statements. Thus, updated resources are being provided in replacement of previous position statements.

The 24 Hour RN Coverage in Special-Care Homes resource document will replace the 24 Hour Registered Nurse Coverage position statement. It is recognized that RNs are one health care provider within the larger health system, and there are many factors that lead to better outcomes for residents. This resource provides an at-a-glace connection to standards, competencies, ethical responsibilities and evidence for RNs practising in special-care homes.

Please review this document and consider how it may relate to your practice.

Updated Requirements for NP Hours

As of December 1, 2020, Nurse Practitioners in Saskatchewan will no longer be required to complete 600 clinical hours to maintain eligibility for registration. According to SRNA Bylaw VI subsection 3(7), NPs are required to work in nurse practitioner activities approved by the association in one of the four specialties for at least 900 hundred hours in the three years immediately preceding application. However, there is no longer a requirement for clinical hours.

This modification was made in recognition of changes in NP practice acknowledging the increasing diversity with many NPs working in various domains of practice outside of a clinical setting.

For any questions regarding this change, please email Leah White, RN Nursing Advisor (

Prescription Review Program (PRP): Codeine Use in Pediatrics

In response to an updated Health Canada advisory warning that patients under 18 years of age should not use non-prescription pain relief products containing codeine, the Prescription Review Program (PRP), Saskatchewan’s prescription monitoring program, has released correspondence to assist practitioners with the management of pediatric pain and provide guidance in regards to the use of codeine products. 

The update by Health Canada also included warnings regarding the use of prescription cough and cold products containing opioids in patients under 18 years of age. Research has suggested that early exposure to opioids may put young patients at risk for opioid-related adverse events throughout their life. 

Given it’s perceived safety, codeine was previously a preferred opioid drug in pediatrics, it has since been recommended that practitioners do not initiate treatment with codeine if the patient hasn’t been prescribed the drug for a chronic condition in the past. 

Correspondence shared by the Prescription Review Program, elaborates on the above topics further, outlines non-opioid and non-pharmacological options in pediatric pain management and highlights important reminders if an opioid prescription is deemed necessary in a pediatric patient. 

Review this document here

If you have any questions, please contact Susan Furman-Pelzer, NP Nursing Advisor PRP ( 

NPs Prescribing Cosmetics

Nurse Practitioners (NP) in Saskatchewan can prescribe bioactive agents and medical fillers for cosmetic purposes when:

  • the patient condition for which they are prescribing the agents fall within the individual NP common medical disorders and
  • the NP has the knowledge, skills and competence to safely assess, treat, prescribe and/or administer the product in accordance with bylaws, standards and competencies and federal legislation.

NPs work within a collaborative team of physicians, registered nurses (RN) and other health care providers to implement the nursing process including assessment, care planning, implementation and evaluation. Considerations for NPs when practicing in an interdisciplinary setting:

  • Recognition of practice is required for NPs who practice in the most responsible practitioner role. Contact for further information.
    • The most responsible practitioner is responsible to:
      • conduct an initial assessment of the client at each visit;
      • establish a treatment plan for the injection;
      • assess that the RN providing the injection is competent to perform the task; and,
      • be available to provide assistance in the event of an untoward event.
    • RN Clinical Protocols are required to provide guidance to RNs who are administering these products under the authority of NPs. The four essential components for RN Specialty Practices must be incorporated into the RN Clinical Protocol.

Providing cosmetic services and procedures has evolved over the past several years and includes unique liability risks that NPs should understand prior to engaging in this area of practice. It is strongly recommended that NPs contact the Canadian Nurses Protective Society (CNPS) to discuss liability risks associated with cosmetic nursing.

Questions? Contact an SRNA Practice Advisor by phone: 1-800-667-9945 or 306-359-4227 or by email:

Advanced Foot Care for Registered Nurses

Infection Prevention and Control Canada has released an updated document on the use, cleaning, disinfection, sterilization and storage of foot care devices. The document outlines the required equipment and devices for client treatment, as well as stipulations for the purchasing and reusing of foot care devices, and options for guaranteed sterilization of the devices if items are being reused.

It is your duty as the Registered Nurse administering care to ensure that the client is not placed at risk of infection when foot care devices are being used. The level of sterilization of foot care instruments and supplies must be at the level of a health professional. RNs should evaluate their current practices against the recommended infection prevention and control practices within the document and adjust, as necessary.

With the rise of instances of chronic diseases increasing the need for advanced foot care, this document is to ensure that all Registered Nurses with this added certification are up-to-date on the best practices for safe foot care treatment, and are educated on the options available to ensure infection does not occur.

Read the full document here.

External Consultation for “Documentation Guidelines for Registered Nurses”

SRNA staff are reviewing the current Documentation Guidelines for Registered Nurses and are seeking feedback from the public, partners and members as part of the external consultation process. This process is in place to ensure relevant information is clearly presented.

The draft Documentation Guidelines for Registered Nurses provides information about the professional expectations and requirements for documenting nursing care. Complete the survey here: Documentation Guidelines for Registered Nurses

Feedback can be provided by accessing the survey by September 18, 2020. All feedback will be reviewed and incorporated as appropriate.

Final approval occurs through the SRNA Executive Director and SRNA Council. The guideline will take effect on the SRNA Council approval date.

Questions or comments are welcome and can be directed to

External Consultation for “Guideline for Prescribing Medication” and “RNs Recommending and Administering Over-the-Counter Medications”

SRNA staff have drafted two new documents and are seeking feedback on the content of both from the public, partners and members as part of the external consultation process. This process is in place to ensure relevant information is clearly presented.

The SRNA Guideline for Prescribing Medication provides information about the professional expectations and requirements for authorized nursing prescribers in Saskatchewan. Complete the survey here: Guideline for Prescribing Medication 

RNs Recommending and Administering Over-the-Counter Medications outlines the professional responsibilities and considerations for RNs who are enabled to guide client decision-making regarding over-the-counter (OTC) medications in a variety of clinical settings. Complete the survey here: RNs Recommending and Administering Over-the-Counter Medications

Feedback can be provided by accessing the related survey by September 15, 2020. All feedback will be reviewed and incorporated as appropriate.

Final approval occurs through the SRNA Executive Director and SRNA Council. The guideline will take effect on the SRNA Council approval date.

Questions or comments are welcome and can be directed to

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